2013
DOI: 10.1007/s12630-012-9877-3
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Major complications related to epidural analgesia in children: a 15-year audit of 3,152 epidurals

Abstract: Background Complications associated with epidural analgesia in children have a reported incidence of 40-90 in 10,000 epidurals. We sought to determine the incidence of major complications with the use of continuous epidural analgesia that occurred in our centre over the past 15 years and to describe the nature of these complications. Methods The Acute Pain Service database at a tertiary care academic pediatric hospital was reviewed retrospectively over a 15-year period. Data were categorized according to patie… Show more

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Cited by 48 publications
(49 citation statements)
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“…It is noteworthy that there is considerable heterogeneity with regard to the country in which the study took place, including European, North American, African, and Asian nations. Time period of patient observation is also an important source of heterogeneity among included studies.…”
Section: Discussionmentioning
confidence: 99%
“…It is noteworthy that there is considerable heterogeneity with regard to the country in which the study took place, including European, North American, African, and Asian nations. Time period of patient observation is also an important source of heterogeneity among included studies.…”
Section: Discussionmentioning
confidence: 99%
“…Entering the epidural space at the sacrococcygeal ligament and advancing a catheter up towards the area of pathology should theoretically reduce the incidence of inadvertent dural puncture. Although this has yet to be formally examined, it is likely that the development and risk of serious neurological complications resulting from hematoma formation may be less with a fluoroscopically-guided caudal approach, as the entry point into the epidural space is more superficial; the area is more compressible than in the lumbar and cervical spinal regions; and the nerve roots that innervate the lower extremities and most of the bowel and bladder are located more cephalad [69,70]. …”
Section: Complicationsmentioning
confidence: 99%
“…Large series from the United Kingdom , Europe , United States , and Canada demonstrate low complication rates following neuraxial analgesia in children, but rates are higher for central vs peripheral blocks . In early series, neonates were at greater risk and also had worse outcomes .…”
Section: Regional Analgesiamentioning
confidence: 99%